Senior Claims Specialist - CGL/Auto - Duluth, GA

Jonus Group; Atlanta (GA); On-site; USD 75,000 - 110,000; Full time

Job summary

Jonus Group in Duluth, GA is seeking a Senior Claims Specialist focused on CGL and Auto claims. You will manage moderately complex to complex claims, apply best practices, and deliver exceptional service to claimants and policyholders.

You will investigate, document, and negotiate settlements, collaborate with counsel, medical professionals, and engineers, and ensure compliance with laws and company procedures. You will mentor junior adjusters and share knowledge to strengthen the team.

Qualifications

• Bachelor’s degree or equivalent professional experience.
• 5–7 years of claims adjustment experience, focusing on CGL and Auto.
• Active Georgia claims adjuster license.
• Proficient in claims management systems and MS Office.
• Strong understanding of insurance policies, risk management, and regulations.
• Strong analytical, problem-solving, and communication skills.

Responsibilities

• Claim Handling: Investigate, analyze, and resolve moderately complex to complex CGL and Auto claims.
• Customer Service: Provide prompt, professional responses to claimants and policyholders.
• Investigation: Conduct thorough investigations with documentation and external parties.
• Negotiations: Negotiate settlements within financial and legal guidelines.
• Compliance: Ensure adherence to laws, regulations, and procedures.
• Documentation & Reporting: Maintain accurate records and inform management of trends.
• Team Collaboration: Work with underwriting, SIU, and legal teams.
• Training & Mentorship: Guide junior adjusters to foster growth.

Skills

Claims adjustment experience

Analytical skills

Communication skills

Customer service mindset

Education

Bachelor’s degree or equivalent

Tools

Claims management systems

Microsoft Office (Word, Excel, Outlook)

Job description

Job Description: Senior Claims Specialist - CGL/Auto

Location: Duluth, GA

Job Summary

Seeking a motivated and experienced Senior Claims Specialist to manage complex claims involving Commercial General Liability (CGL) and Auto coverage. The role emphasizes expertise in claims adjustment practices, exceptional customer service, and attention to detail.

Key Responsibilities

• Claim Handling: Investigate, analyze, and resolve moderately complex to complex CGL and Auto claims in accordance with procedures and best practices.
• Customer Service: Provide prompt and professional responses to claimants, policyholders, and key stakeholders.
• Investigation: Conduct thorough investigations, secure necessary documentation, and collaborate with external parties, including legal counsel, medical professionals, and engineers, to determine liability and resolve disputes.
• Negotiations: Negotiate settlements equitably within financial and legal guidelines to optimize outcomes.
• Compliance: Ensure all claim handling adheres to applicable laws, regulations, and company procedures.
• Documentation & Reporting: Maintain accurate claim documentation, prepare detailed reports, and inform management of developing trends and significant loss exposures.
• Team Collaboration: Work closely with underwriting, special investigation units, and legal teams to assess risk and develop effective solutions.
• Training & Mentorship: Offer guidance and mentorship to junior adjusters to foster skill development and professional growth.

Qualifications

• Education: Bachelor’s degree or equivalent professional experience.
• Experience: A minimum of 5-7 years of claims adjustment experience, with a focus on CGL and Auto claims.
• Licensure: Active claims adjuster license(s) in the state of Georgia.
• Technical Skills: Proficient in claims management systems, Microsoft Office Suite (Word, Excel, Outlook), and related software.
• Knowledge: In-depth understanding of insurance policies, risk management principles, and relevant regulations.
• Analytical Skills: Strong problem-solving, analytical, and critical-thinking capabilities to evaluate claims, subrogation opportunities, and fraud risks effectively.
• Communication: Exceptional verbal and written communication skills.
• Customer-Centric Mindset: Ability to build and maintain strong customer and internal partner relationships.
• Organization: Ability to prioritize and manage multiple projects in a fast-paced environment.

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.

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